Organization Active NPI

Axxcess Healthcare of Florida LLC

  • Family Nurse Practitioner
  • Riverview, FL
National Provider Identifier
1538879036
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
AXXCESS HEALTHCARE OF FLORIDA LLC
Practice address
8710 Sandy Plains Dr
Riverview, FL 33578-8615
Phone
(813) 205-6671
NPI assigned
Nov 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Latisa Lynch, NURSE PRACTITIONER
Title
Aprn
Phone
(813) 205-6671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

8710 Sandy Plains Dr
Riverview, FL 33578-8615

Mailing address

8710 Sandy Plains Dr
Riverview, FL 33578-8615
Phone (813) 205-6671

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669334400000",
    "number": "1538879036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8710 SANDY PLAINS DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335788615",
            "telephone_number": "813-205-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8710 SANDY PLAINS DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335788615",
            "telephone_number": "813-205-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXXCESS HEALTHCARE OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-25",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "LATISA",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "813-205-6671",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.